Individual
LAURA JACOBSEN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC/ LPC
Contact information
Practice address
1835 N 1120 W, PROVO, UT 84604-1180
(801) 477-0532
Mailing address
105 W 1200 S, PAYSON, UT 84651-3211
(801) 465-6909
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8161058-6009
UT
Other
Enumeration date
03/31/2012
Last updated
03/31/2012
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